Integrated procedure for giant right coronary aneurysm with fistula and atrial fibrillation--coronary grafting, fistula obliteration and radiofrequency maze.

Interactive cardiovascular and thoracic surgery · 2004 · Unclear · Very low evidence

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UnclearVery low evidencePaper 3603

The authors report successful management of a giant right coronary artery aneurysm with fistulisation into the right atrium, with concomitant procedures including coronary grafting, fistula obliteration, and a radiofrequency maze for atrial fibrillation. They…

Study snapshot

PublicationInteractive cardiovascular and thoracic surgery · 2004

Study typecase_report

Reported directionUnclear

Evidence ratingVery low

Abstract

Giant coronary artery aneurysm (CAA) with fistula is a rare entity. Surgical treatment is often concomitant to treating obstructing coronary lesions. We report the successful management of a giant right CAA with fistulisation into the right atrium. By coincidence, a secundum atrial septal defect was present. In addition, a radiofrequency maze procedure was performed for atrial fibrillation (AF). This combination of procedures has not been previously reported in the literature. The substantial benefits from regained atrial rhythm and contraction outweigh the potential risks, justifying the combined approach in patients with established AF and organic disorders provided the patients are judged capable of tolerating and benefiting from the procedure.

Machine Enhanced Logic

AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typecase_report

Effect directionunclear

PopulationPatient with giant right coronary artery aneurysm with fistula into the right atrium, secundum atrial septal defect, and atrial fibrillation

Sample sizeNot supplied

ExposureNot supplied

Evidence strengthVery lowConfidence: 66% · Peer reviewed: yes

Main findings

Outcomes measured

Successful surgical management of giant right coronary artery aneurysm with fistula
Atrial rhythm regained after radiofrequency maze procedure

Limitations

Single case report
No quantitative exposure parameters (e.g., frequency, power, SAR) reported
No comparator/control group described

View raw extracted JSON

{
  "study_type": "case_report",
  "exposure": {
    "band": null,
    "source": "radiofrequency maze (cardiac ablation)",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": null
  },
  "population": "Patient with giant right coronary artery aneurysm with fistula into the right atrium, secundum atrial septal defect, and atrial fibrillation",
  "sample_size": null,
  "outcomes": [
    "Successful surgical management of giant right coronary artery aneurysm with fistula",
    "Atrial rhythm regained after radiofrequency maze procedure"
  ],
  "main_findings": "The authors report successful management of a giant right coronary artery aneurysm with fistulisation into the right atrium, with concomitant procedures including coronary grafting, fistula obliteration, and a radiofrequency maze for atrial fibrillation. They state that benefits from regained atrial rhythm and contraction outweighed potential risks in this case.",
  "effect_direction": "unclear",
  "limitations": [
    "Single case report",
    "No quantitative exposure parameters (e.g., frequency, power, SAR) reported",
    "No comparator/control group described"
  ],
  "evidence_strength": "very_low",
  "confidence": 0.66,
  "peer_reviewed_likely": "yes",
  "keywords": [
    "coronary artery aneurysm",
    "coronary fistula",
    "right atrium",
    "atrial septal defect",
    "atrial fibrillation",
    "radiofrequency maze",
    "coronary grafting",
    "surgery"
  ],
  "suggested_hubs": []
}

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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1016/s1569-9293(03)00268-8
PubMed: 17670206

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